#长沙头条 ##湖南旺旺医院#
Ms. Ge (not her real name), a 31-week pregnant mother, has noticed that her fetal movements are very active in recent days, and she can't help but feel a little worried, she remembers that during the prenatal check-up, the doctor emphasized the importance of fetal movement and told her that if the fetal movement is abnormal, she should seek medical attention immediately.
Therefore, Ms. Ge immediately came to the obstetric outpatient clinic of Hunan Want Want Hospital for examination, and described in detail the situation of frequent fetal movement to the visiting physician, and the obstetrician gave abdominal palpation, B ultrasound and fetal heart rate monitoring, and found that Ms. Ge's fetal position was not correct (breech position), and the doctor combined Ms. Ge's situation, combined with the situation of no umbilical cord around the neck, etc., and instructed her in detail to correct the fetal position in the chest and knee position, 2-3 times a day, each time lasting 15 minutes, and re-examined after continuous training for a week.
A week later, Ms. Ge came to the obstetric clinic again for a follow-up, and the baby had been transferred to the head position, and Ms. Ge was so happy that she thanked her repeatedly.
Popular Science Knowledge:
1. What is fetal breech presentation?
Breech presentation, in which the fetus is buttocks or feet facing down, is a manifestation of abnormal fetal position. Breech presentation can lead to some serious complications, the most common of which are umbilical cord prolapse and premature rupture of membranes. The incidence of breech presentation increases with the younger the gestational age, and breech presentation is more likely to change to cephalic presentation between 28 and 32 weeks.
2. What are the causes of fetal breech presentation?
There are several reasons for fetal breech presentation: too much space for the fetus to move in the womb (such as excessive abdominal wall laxity in multiparous women, polyhydramnios), limited space for movement (umbilical cord around the neck, abnormally short umbilical cord, unicornuate uterus, mediastinal uterus), or abnormal fetal development.
3. What is the impact of breech presentation on labor and mother and child?
1. Impact on mothers:
(1) Prolongation and stagnation of the active period
Abnormal breech presentation may lead to prolongation or stagnation of the active phase (i.e., cervical dilation) because the breech presentation does not dilate the cervix effectively, making labor progression slow.
(2) Increased risk of dystocia
After the breech part of the fetus is delivered, the fetal head part is larger than the body part, which may cause difficulty in posterior emergence, increasing the risk of dystocia. Emergency measures such as forceps delivery are required.
(3) Increased risk of postpartum hemorrhage
Breech presentation may lead to prolonged labor and dystocia, increasing the risk of postpartum hemorrhage. Postpartum haemorrhage is a serious complication after childbirth that can be life-threatening in severe cases.
2. Impact on the fetus:
(1) Premature rupture of membranes and umbilical cord prolapse
Abnormal breech presentation may lead to an increased risk of premature rupture of membranes and umbilical cord prolapse. Premature rupture of membranes can lead to preterm birth and other complications, while umbilical cord prolapse can lead to acute hypoxia and even death.
(2) Increased risk of neonatal complications
Breech presentation may lead to fetal intrauterine distress, neonatal intracranial hemorrhage, brachial plexus injury and other risks.
4. How to correct fetal breech position?
1. Chest and knee exercises
This is a common correction method for pregnant women who do not have an umbilical cord around their necks and no other complications after 30 weeks of pregnancy.
It must be carried out under the guidance of an obstetrician: pregnant women should perform chest and knee exercises 2-3 times a day for 15 minutes each time (remember: rest in bed for 3-5 minutes after the exercise and get out of bed to avoid the risk of orthostatic hypotension and other risks), and recheck after a week.
On a hard bed, loosen the waistband of your pants, place your chest and knees on the bed, raise your hips, and keep your thighs perpendicular to the bed.
2. External transfer to fetal position
A procedure in which the doctor rotates the fetus forward or backward with his or her hands by applying pressure to the woman's abdominal wall, changing it from a breech position to a cephalic position. This procedure needs to be performed by a professional doctor, and if the procedure fails, it may lead to complications such as placental abruption, acute fetal distress, and even emergency cesarean section.
(▲External transfer to fetal position)
3. Moxibustion to the Yin acupoints
This is an ancient TCM technique that stimulates the yin points to move the fetus and help the fetus turn into a head-down position. This method needs to be done under the guidance of a doctor.
In short, abnormal fetal position is not terrible, and regular prenatal check-ups during pregnancy and active cooperation with the doctor's guidance are carried out to ensure the safety of the mother and child.
Hunan Medical Chat Special Author: Peng Jinfeng, Department of Obstetrics and Gynecology, Hunan Want Want Hospital
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(Editor YT)